Organization
ROTH SENIOR CARE, LLC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETCHEN JEAN SMITH (BOOKKEEPER)
(503) 335-0626
Entity
Organization
Contact information
Practice address
4538 NE SANDY BLVD, PORTLAND, OR 97213-1438
(503) 335-0626
(503) 335-0648
Mailing address
4538 NE SANDY BLVD, PORTLAND, OR 97213-1438
(503) 335-0626
(503) 335-0648
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-2189
OR
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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